Health TrialsbyHealthPanel

Effect of Postural Correction Exercises on Pelvic Floor Dysfunction in Postmenopausal Osteoporotic Women

ConditionsOsteoporosisPostmenopausal
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age55-65
SponsorCairo University

About this trial

This study aimed to investigate the effect of postural correction exercises on pelvic floor dysfunction in postmenopausal osteoporotic women

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Postmenopausal women with ages between 55 and 65 years.

Their body mass index will not exceed 35 Kg/m2.

All women have mild to moderate pelvic floor muscle dysfunction.

All women were diagnosed with osteoporosis confirmed by Dual-energy X-ray Absorptiometry (DEXA) (T-score ≤ -2.5).

Disqualifiers

Previous pelvic or abdominal surgery affecting pelvic floor function.

Severe pelvic organ prolapse (Grade III or IV).

Neurological disorders affecting pelvic floor or lower limb function.

Severe musculoskeletal disorders limiting exercise participation.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Estrogen replacement therapy

    Drug

    The participants will receive estrogen replacement therapy for 3 months to enhance postmenopausal symptoms and their quality of life

  • General advice

    Other intervention

    Postmenopausal women will be instructed to maintain a neutral spinal alignment during sitting, standing, and daily activities, avoid prolonged slouched sitting, and use supportive seating to encourage correct posture. Light to moderate physical activity, such as daily walking, will be encouraged to reduce sedentary behavior and maintain overall physical function. women will also receive guidance on healthy bowel and bladder habits, including avoiding straining during bowel movements and unnecessary frequent urination, as increased intra-abdominal pressure can worsen pelvic floor dysfunction.

  • Postural correction exercise program

    Other intervention

    The participants will follow a structured postural correction exercise program, 3 times per week for 12 weeks, each session lasting 45-60 minutes.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Estrogen replacement therapy and general advice groupActive comparator 2 interventions
Group B: Postural correction exercise program groupExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Pelvic Floor Muscle Assessment

Pelvic floor muscle function will be assessed using surface electromyographic (EMG) to measure muscle activation patterns. For the measurement, women will be placed in a supine position with knees flexed. A vaginal surface probe electrode will be gently inserted to record pelvic floor muscle (PFM) activity, and a reference electrode will be placed on a bony landmark such as the anterior superior iliac spine to reduce electrical noise. Participants will be instructed to contract their pelvic floor muscles as if stopping urine flow, holding each contraction for 5 seconds, followed by 10 seconds of relaxation. Each contraction will be repeated three times, and the highest root mean square RMS amplitude of the three contractions will be used for analysis. EMG signals will be processed to calculate RMS amplitude and normalized to maximum voluntary contraction for inter-individual comparisons

Time frame
12 weeks
2

Kyphotic angle

Formetric System will be used to evaluate spinal alignment parameters including thoracic kyphosis before and after treatment The system is a non-invasive, radiation-free optical imaging technology that projects a light grid onto the back surface and captures the reflected pattern using a high-resolution digital camera. Using surface topography, the software reconstructs a three-dimensional model of the back allowing precise calculation of spinal angles. Thoracic kyphosis angle is measured as the angle between tangent lines at the upper and lower thoracic vertebrae.

Time frame
12 weeks
3

Lumbar lordotic angle

Formetric System will be used to evaluate spinal alignment parameters including lumbar lordosis before and after treatment The system is a non-invasive, radiation-free optical imaging technology that projects a light grid onto the back surface and captures the reflected pattern using a high-resolution digital camera. Using surface topography, the software reconstructs a three-dimensional model of the back allowing precise calculation of spinal angles. Lumbar lordosis angle as the angle between tangent lines at the upper lumbar and sacral vertebrae.

Time frame
12 weeks

Secondary outcomes

1

Menopause-specific quality of life questionnaire

The MENQOL is self-administered and consists of a total of 29 items in a Likert-scale format. Each item assesses the impact of one of four domains of menopausal symptoms, as experienced over the last month: vasomotor (items 1-3), psychosocial (items 4-10), physical (items 11-26), and sexual (items 27-29). Items pertaining to a specific symptom are rated as present or not present, and if present, how bothersome on a zero (not bothersome) to six (extremely bothersome) scale

Time frame
12 Weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: